Individual provider · Type 1 NPI

Lauren Wildman, PA-C

Physician Assistant · Neptune, NJ

NPI number 1417735200 Active

Practice location

1945 NJ-33
Neptune, NJ 07753

Mailing address

51 E End Ave
Neptune City, NJ 07753-6208

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00808600 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417735200

Lauren Wildman, PA-C's National Provider Identifier is 1417735200, issued on Sep 21, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Neptune, NJ. The record was last updated on Jul 23, 2026.